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PedAM

Pediatric Disease Annotations & Medicines



   purpura fulminans
  

Disease ID 517
Disease purpura fulminans
Definition
A severe, rapidly fatal reaction occurring most commonly in children following an infectious illness. It is characterized by large, rapidly spreading skin hemorrhages, fever, or shock. Purpura fulminans often accompanies or is triggered by DISSEMINATED INTRAVASCULAR COAGULATION.
Synonym
fulminans purpura
fulminans, purpura
purpura fulminans (disorder)
purpura fulminans [disease/finding]
purpura, fulminans
DOID
UMLS
C0085650
MeSH
SNOMED-CT
Comorbidity
UMLS | Disease | Sentences' Count(Total Sentences:19)
Curated Gene
Entrez_id | Symbol | Resource(Total Genes:1)
PROC  |  5624  |  CTD_human
Inferring Gene(Waiting for update.)
Text Mined Gene
Entrez_id | Symbol | Score | Resource(Total Genes:34)
1361  |  CPB2  |  DISEASES
5411  |  PNN  |  DISEASES
10544  |  PROCR  |  DISEASES
5054  |  SERPINE1  |  DISEASES
7035  |  TFPI  |  DISEASES
5624  |  PROC  |  DISEASES
5199  |  CFP  |  DISEASES
27130  |  INVS  |  DISEASES
11043  |  MID2  |  DISEASES
671  |  BPI  |  DISEASES
5286  |  PIK3C2A  |  DISEASES
23082  |  PPRC1  |  DISEASES
1409  |  CRYAA  |  DISEASES
2147  |  F2  |  DISEASES
5340  |  PLG  |  DISEASES
9377  |  COX5A  |  DISEASES
5345  |  SERPINF2  |  DISEASES
716  |  C1S  |  DISEASES
2152  |  F3  |  DISEASES
5265  |  SERPINA1  |  DISEASES
462  |  SERPINC1  |  DISEASES
55788  |  LMBRD1  |  DISEASES
959  |  CD40LG  |  DISEASES
29952  |  DPP7  |  DISEASES
4524  |  MTHFR  |  DISEASES
7056  |  THBD  |  DISEASES
2592  |  GALT  |  DISEASES
114899  |  C1QTNF3  |  DISEASES
2524  |  FUT2  |  DISEASES
5627  |  PROS1  |  DISEASES
133396  |  IL31RA  |  DISEASES
721  |  C4B  |  DISEASES
4700  |  NDUFA6  |  DISEASES
11012  |  KLK11  |  DISEASES
Locus(Waiting for update.)
Disease ID 517
Disease purpura fulminans
Integrated Phenotype(Waiting for update.)
Text Mined Phenotype
HPO | Name | Sentences' Count(Total Phenotypes:12)
Disease ID 517
Disease purpura fulminans
Manually Symptom
UMLS  | Name(Total Manually Symptoms:9)
C2598155  |  pain
C1550639  |  fistula
C1521999  |  acute myocardial infarction
C0584984  |  heterozygous factor v leiden mutation
C0522224  |  palsy
C0398625  |  protein c deficiency
C0339141  |  orbital haemorrhage
C0025309  |  meningoencephalitis
C0025306  |  meningococcal sepsis
Text Mined Symptom
UMLS | Name | Sentences' Count(Total Symptoms:1)
C0025306  |  meningococcal sepsis  |  1
Manually Genotype(Total Text Mining Genotypes:0)
(Waiting for update.)
All Snps(Total Genotypes:0)
(Waiting for update.)
GWASdb Annotation(Total Genotypes:0)
(Waiting for update.)
GWASdb Snp Trait(Total Genotypes:0)
(Waiting for update.)
Mapped by lexical matching(Total Items:0)
(Waiting for update.)
Mapped by homologous gene(Total Items:0)
(Waiting for update.)
Chemical(Total Drugs:3)
CUI ChemicalName ChemicalID CasRN DiseaseName DiseaseID DirectEvidence PubMedIDs
C0085650acetaminophenD000082103-90-2purpura fulminansMESH:D055665marker/mechanism8215490
C0085650diclofenacD00400815307-86-5purpura fulminansMESH:D055665marker/mechanism12219272
C0085650phenytoinD01067257-41-0purpura fulminansMESH:D055665marker/mechanism1147459
FDA approved drug and dosage information(Total Drugs:4)
DiseaseID Drug_name active_ingredients strength Dosage Form/Route Marketing Status TE code RLD RS
MESH:D055665ofirmevacetaminophen1GM/100ML (10MG/ML)SOLUTION;IV (INFUSION)PrescriptionAPYesYes
MESH:D055665ofirmevacetaminophen1GM/100ML (10MG/ML)SOLUTION;IV (INFUSION)PrescriptionAPYesYes
MESH:D055665acetaminophenacetaminophen650MGSUPPOSITORY;RECTALOver-the-counterNoneYesYes
MESH:D055665acetaminophenacetaminophen650MGSUPPOSITORY;RECTALOver-the-counterNoneYesYes
FDA labeling changes(Total Drugs:4)
DiseaseID Pediatric_Labeling_Date Trade_Name Generic_Name_or_Proper_Name Indications Studied Label Changes Summary Product Labeling BPCA(B) PREA(P) BPCA(B) and PREA(P) Pediatric Rule (R) Sponsor Pediatric Exclusivity Granted Date NNPS
MESH:D0556652/11/2010ofirmevacetaminophenManagement of mild-to-moderate pain, for the management of moderate-to-severe pain with adjunctive opioid analgesics, and for the reduction of feverThe safety and effectiveness of Ofirmev for the treatment of acute pain and fever in pediatric patients ages 2 years and older is supported by evidence from adequate and well-controlled studies of Ofirmev in adults. Additional safety and PK data was collected in 355 from premature neonates to adolescents. The effectiveness of Ofirmev for the treatment of acute pain and fever has not been studied in pediatric patients < 2 years of age.The PK exposure of Ofirmev observed in children and adolescents is similar to adults, but higher in neonates and infants. Dosing simulations from PK data in infants and neonates suggest that dose reductions of 33% in infants 1 month to < 2 years of age, and 50% in neonates up to 28 days, with a minimum dosing interval of 6 hours, will produce a PK exposure similar to that observed in children age 2 years and olderMost common adverse reactions in pediatric patients were nausea, vomiting, constipation, pruritus, agitation, and atelectasis.Information on dosing, clinical studies, adverse reactions and PK parametersNew dosage form and route of administrationLabeling-P--Cadence-FALSE'
MESH:D05566501/27/2017ofirmevacetaminophenTreatmeny of pain and fever in pediatric patients birth to 2 yearsTreatment of pain Efficacy was not demonstrated in pediatric patients younger than 2 years in a double-blind, placebo-controlled study of 198 pediatric patients younger than 2 years. Pediatric patients less than 2 years of age, including neonates from 28 to 40 weeks gestational age at birth, were randomized to receive opioid plus acetaminophen or opioid plus placebo. No difference in analgesic effect of intravenous acetaminophen, measured by assessment of reduced need for additional opioid treatment for pain control, was observed. Treatment of fever The safety and effectiveness for the treatment of fever in pediatric patients, including premature neonates born at 32 weeks or greater gestation is supported by adequate and well-controlled studies of Ofirmev in adults, clinical studies in 244 pediatric patients 2 years and older, and safety and pharmacokinetic data from 239 patients younger than 2 years including neonates 32 weeks or greater gestational age. Information on dosing, clinical trials. Postmarketing study.Labeling--B,P-Mallinckrodt11/7/2016FALSE
MESH:D0556652/11/2010ofirmevacetaminophenManagement of mild-to-moderate pain, for the management of moderate-to-severe pain with adjunctive opioid analgesics, and for the reduction of feverThe safety and effectiveness of Ofirmev for the treatment of acute pain and fever in pediatric patients ages 2 years and older is supported by evidence from adequate and well-controlled studies of Ofirmev in adults. Additional safety and PK data was collected in 355 from premature neonates to adolescents. The effectiveness of Ofirmev for the treatment of acute pain and fever has not been studied in pediatric patients < 2 years of age.The PK exposure of Ofirmev observed in children and adolescents is similar to adults, but higher in neonates and infants. Dosing simulations from PK data in infants and neonates suggest that dose reductions of 33% in infants 1 month to < 2 years of age, and 50% in neonates up to 28 days, with a minimum dosing interval of 6 hours, will produce a PK exposure similar to that observed in children age 2 years and olderMost common adverse reactions in pediatric patients were nausea, vomiting, constipation, pruritus, agitation, and atelectasis.Information on dosing, clinical studies, adverse reactions and PK parametersNew dosage form and route of administrationLabeling-P--Cadence-FALSE'
MESH:D05566501/27/2017ofirmevacetaminophenTreatmeny of pain and fever in pediatric patients birth to 2 yearsTreatment of pain Efficacy was not demonstrated in pediatric patients younger than 2 years in a double-blind, placebo-controlled study of 198 pediatric patients younger than 2 years. Pediatric patients less than 2 years of age, including neonates from 28 to 40 weeks gestational age at birth, were randomized to receive opioid plus acetaminophen or opioid plus placebo. No difference in analgesic effect of intravenous acetaminophen, measured by assessment of reduced need for additional opioid treatment for pain control, was observed. Treatment of fever The safety and effectiveness for the treatment of fever in pediatric patients, including premature neonates born at 32 weeks or greater gestation is supported by adequate and well-controlled studies of Ofirmev in adults, clinical studies in 244 pediatric patients 2 years and older, and safety and pharmacokinetic data from 239 patients younger than 2 years including neonates 32 weeks or greater gestational age. Information on dosing, clinical trials. Postmarketing study.Labeling--B,P-Mallinckrodt11/7/2016FALSE